What is it about?
The aim of the study was to investigate parameters influencing the preoperative pain intensity in patients with osteochondral lesions of the ankle. The evaluation covered patient-related parameters such as age, sex, body mass index (BMI), as well as defect-related parameters, such as localisation, size and stage (according to the classification of the International Cartilage Repair Society [ICRS] and the Berndt-Harty-Loomer classification). We also examined the correlation between the different surgical techniques and additional factors, such as debridement of an impingement or stabilisation of the ankle on the one hand, and the preoperative pain intensity on the other.
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Why is it important?
There are some interesting facts that have been demonstrated by the present study: Osteochondral lesions of the ankle can be associated with a moderate and in some cases high pain intensity. In female patients a higher BMI is associated with a higher pain intensity. Further, a higher lesion stage according to the Berndt-Harty-Loomer classification is associated with a higher pain intensity, which highlights the clinical relevance of this classification.
Perspectives
The present study provides interesting baseline data from the German Cartilage Registry (KnorpelRegister DGOU) that help to better understand relationships between osteochondral lesions and subjective pain.
Philipp Niemeyer
OCM Clinic Munich, Germany
Read the Original
This page is a summary of: Pain in Osteochondral Lesions of the Ankle – an Investigation Based on Data from the German Cartilage Registry (KnorpelRegister DGOU), Zeitschrift für Orthopädie und Unfallchirurgie, April 2018, Thieme Publishing Group,
DOI: 10.1055/s-0043-124597.
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